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논문 기본 정보

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저자정보
Seong Hyeon Yu (Department of Urology Chonnam National University Medical School Gwangju) Seung Il Jung (Department of Urology Chonnam National University Medical School Gwangju) Eu Chang Hwang (Department of Urology Chonnam National University Medical School Gwangju) Tae-Hyoung Kim (Department of Urology Chung-Ang University College of Medicine Seoul) Jae Duck Choi (Department of Urology Nowon Eulji Medical Center Eulji University Seoul) Koo Han Yoo (Department of Urology College of Medicine Kyung Hee University Seoul) Jeong Woo Lee (Department of Urology College of Medicine Kyung Hee University Seoul) Dong Hoon Koh (Department of Urology College of Medicine Konyang University Daejeon) Sangrak Bae (Department of Urology The Catholic University of Korea Uijeongbu St. Maryʼs Hospital Seoul) Seung Ok Yang (Department of Urology Veterans Health Service Medical Center Seoul) Joongwon Choi (Department of Urology The Catholic University of Korea Incheon St. Mary’s Hospital Incheon) Seung Ki Min (Department of Urology Goldman Urologic Clinic Seoul) Hoon Choi (Department of Urology Korea University Ansan Hospital Korea University College of Medicine Ansan Ko)
저널정보
대한요로생식기감염학회 Urogenital Tract Infection Urogenital Tract Infection 제17권 제3호
발행연도
2022.12
수록면
81 - 88 (8page)
DOI
10.14777/uti.2022.17.3.81

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Purpose: To evaluate the efficacy of antibiotic prophylaxis and determine the risk factors of infectious complications after transurethral surgery of the prostate. Materials and Methods: Seven hundred and seventy-two patients who underwent transurethral resection of the prostate (TURP) or holmium laser enucleation of the prostate (HOLEP) were reviewed. Of these, this study enrolled 643 patients without bacteriuria who had not received antibiotics for urinary tract infections for two weeks before surgery. The patients were divided into two groups according to the duration of the antibiotics (Group 1: less than one day, n=396 vs. Group 2: more than one day, n=247). Results: The overall incidence of postoperative infectious complications in 643 patients was 5.0% (32/643). When postoperative infectious complications were compared according to the duration of the antibiotics (Group 1 vs. Group 2), the infectious complications rates were 5.6% (22/396) vs. 4.0% (10/247), respectively (p=0.393). When postoperative infectious complications were compared according to the duration of antibiotics (Group 1 vs. Group 2) in the TURP and HOLEP groups, the infectious complications rates were 6.3% (12/192) vs. 1.0% (1/103) (p=0.035) and 4.9% (10/203) vs. 6.0% (8/134) (p=0.677), respectively. The duration of Foley catheterization was independently associated with infectious complications (p=0.003). Conclusions: The results showed that prolonged postoperative catheterization affects postoperative infectious complications associated with transurethral prostate surgery. Although antibiotics administered for less than one day are effective for antibiotic prophylaxis of transurethral prostate surgery, a longer antibiotic therapy is recommended for TURP.
#Urinary tract infections #Transurethral resection of prostate #Risk factors #Antibiotic prophylaxis

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